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23例早期原发性肺癌分析

[An analysis of 23 cases of early primary lung cancer].

作者信息

Ma F C

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 1989 Apr;12(2):79-81, 125-6.

PMID:2791128
Abstract

This paper analyzed the clinical characteristics and long term therapeutic effectiveness of 23 cases of early primary lung cancer, which were coincide with diagnostic criteria of the disease in our country, and selected from among 1912 cases of primary bronchogenic carcinoma in our hospital during 1976-1986. The 5 year survival rate after operation was 72.8%. We compared the detection rates of the symptomatology and some principle methods of examination in wide use between early central and peripheral types of lung cancer. This paper emphasized that the diagnosis combined with multiple discipline was of importance to early finding the diseases. In this group, the comprehensive detection rate was 77.6%. To determine early central type of lung cancer depended in large part on hemoptysis, sputum cytology and fiberoptic bronchoscopy, and to find early peripheral type of lung cancer relied entirely on chest X-ray. Some other methods finding early lung cancer were also briefly discussed.

摘要

本文分析了1976年至1986年我院1912例原发性支气管肺癌中符合我国原发性肺癌诊断标准的23例早期原发性肺癌的临床特征及远期治疗效果。术后5年生存率为72.8%。我们比较了早期中央型和周围型肺癌常见症状及一些主要检查方法的检出率。本文强调多学科联合诊断对早期发现疾病很重要。在该组中,综合检出率为77.6%。确定早期中央型肺癌在很大程度上依赖于咯血、痰细胞学检查及纤维支气管镜检查,而发现早期周围型肺癌则完全依靠胸部X线检查。还简要讨论了其他一些早期发现肺癌的方法。

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